Myasthenic Crisis and Concomitant Takotsubo Syndrome Complicated by Shock.

Autor:	Omiya M; Department of Emergency and General Medicine, Tokyo Metropolitan Tama Medical Center, Japan., Morii Y; Department of Cardiology, Tokyo Metropolitan Tama Medical Center, Japan., Mukai M; Department of Neurology, Tokyo Metropolitan Neurological Hospital, Japan., Mitsuhashi Y; Department of Cardiology, Tokyo Metropolitan Tama Medical Center, Japan., Kato K; Department of Cardiology, Tokyo Metropolitan Tama Medical Center, Japan., Isogai T; Department of Cardiology, Tokyo Metropolitan Tama Medical Center, Japan.
Jazyk:	angličtina
Zdroj:	Internal medicine (Tokyo, Japan) [Intern Med] 2024 Dec 15; Vol. 63 (24), pp. 3383-3387. Date of Electronic Publication: 2024 May 09.
DOI:	10.2169/internalmedicine.3306-23
Abstrakt:	A man in his 80s with myasthenia gravis (MG) developed dysmobility and chest discomfort. An electrocardiogram revealed ST-segment elevation, and coronary angiography revealed Takotsubo syndrome (TTS). He experienced myasthenic crisis that required ventilation and shock that was refractory to vasopressors and required intra-aortic balloon pump (IABP) insertion. He was managed conservatively without MG-specific treatment until his hemodynamics improved. On hospital day 6, he was weaned from IABP. MG is a high-risk condition for TTS, and TTS with myasthenic crisis (MC) is associated with high mortality. We successfully managed this case of TTS with MC with intubation and IABP, without MG-specific treatment.
Databáze:	MEDLINE
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